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General NPI Number Information
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NPI Number | 1366339558
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Entity Type | Organization
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Legal Business Name | CHATTERBUGS SPEECH PATHOLOGY, INC.
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 12900 GARDEN GROVE BLVD STE 126
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City | GARDEN GROVE
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State | CA
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Zip | 92843-2006
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Country | US
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Telephone | 714-622-9929
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Fax |
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Provider Business Mailing Address
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Address Line | 3725 COUNTRY CLUB DR UNIT 9
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City | LONG BEACH
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State | CA
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Zip | 90807-3147
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Country | US
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Telephone | 714-622-9929
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JENNIFER PHAM
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Credential |
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Telephone | 714-622-9929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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